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NCLEX RN· RN Leadership and Management · Leadership and Management in Nursing NCLEX Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has attended a staff education program about incident reporting. It would indicate effective understanding if the nurse states that the primary purpose of incident reporting is to

A. implement corrective measures needed to prevent recurrence.
B. collect data about errors and compare it to different time periods.
C. communicate the error(s) to other departments within the facility.
D. notify the individual involved of the deviation from the standard of care.

Expert Explanatory Rationale

Correct Answer: implement corrective measures needed to prevent recurrence.

Question 2 of 5

The nurse has received the following prescriptions for newly admitted clients. The nurse should first administer which of the following?

A. Enoxaparin to a client with a platelet count of 165,000 mm3 (165 × 10^9/L) [150-400 mm3, 130-380 × 10^9/L]
B. Warfarin to a client with an international normalized ratio of 2.4 [0.9-1.2 seconds]
C. Packed red blood cells to a client with a hemoglobin of 6.1 g/dL (3.78 mmol/L) [Female: 12-16 g/dL, Male: 14-18 g/dL, Female 115-155 g/L, Male 125-170 g/L]
D. Regular insulin to a client with a blood glucose of 285 mg/dL (15.77 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]

Expert Explanatory Rationale

Correct Answer: Packed red blood cells to a client with a hemoglobin of 6.1 g/dL (3.78 mmol/L) [Female: 12-16 g/dL, Male: 14-18 g/dL, Female 115-155 g/L, Male 125-170 g/L]

Question 3 of 5

An advantage of mutual pretense at the end of life for the client is that it allows the client:

A. To fully employ the ego defense mechanism of denial at the end of life.
B. To exercise control over loved ones when they are at the end of life.
C. To fully employ the ego defense mechanism of projection at the end of life.
D. To preserve a degree of dignity and privacy at the end of life.

Expert Explanatory Rationale

Correct Answer: To preserve a degree of dignity and privacy at the end of life.

Question 4 of 5

A nurse is caring for a client who speaks a language different from the healthcare team. Which action by the nurse best ensures effective communication with the client?

A. Using family members as interpreters.
B. Utilizing a professional interpreter provided by the healthcare facility.
C. Attempting to communicate using basic words and gestures.
D. Referring the client to a language class for healthcare professionals.

Expert Explanatory Rationale

Correct Answer: Utilizing a professional interpreter provided by the healthcare facility.

Question 5 of 5

A client with a terminal illness asks the nurse about their prognosis. The nurse discusses the prognosis with the client, which the physician had previously divulged. Which ethical principle is the nurse demonstrating?

A. Fidelity
B. Confidentiality
C. Beneficence
D. Veracity

Expert Explanatory Rationale

Correct Answer: Veracity

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